LAKESIDE NEPHROLGOY LTD/PRARIE is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKESIDE NEPHROLGOY LTD/PRARIE NPI is 1649433376. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1717 S WABASH AVE
CHICAGO, IL
ZIP 60616-219
Phone: (312) 913-0110
Fax: (312) 913-9154
The provider's authorized official is Sheldon Hirsch .
The authorized official title is Partner and has the following contact phone number (312) 913-0110.
The CLIA number assigned to this NPI record is 14D0950306 - end stage renal disease dialysis facility with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.